Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $451.32 / $1,071.25 / $14,464.32	Facility		$451.32	$1,071.25	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $249.59 / $504.24 / $1,071.25	Professional		$249.59	$504.24	$1,071.25
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $506.00 / $4,062.29 / $8,267.12	Facility		$506.00	$4,062.29	$8,267.12
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $418.54 / $728.97 / $2,837.60	Professional		$418.54	$728.97	$2,837.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $648.16 / $648.16 / $714.97	Facility		$648.16	$648.16	$714.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $314.86 / $591.94 / $1,076.05	Professional		$314.86	$591.94	$1,076.05
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $307.69 / $536.50 / $975.54	Facility		$307.69	$536.50	$975.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $307.69 / $536.50 / $914.38	Professional		$307.69	$536.50	$914.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.46 / $257.23 / $785.32	Professional		$39.46	$257.23	$785.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $438.98 / $731.64 / $767.15	Facility		$438.98	$731.64	$767.15
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $184.91 / $506.00 / $555.24	Facility		$184.91	$506.00	$555.24
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $411.51 / $608.33 / $938.52	Professional		$411.51	$608.33	$938.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,301.18 / $4,321.81 / $8,267.12	Facility		$3,301.18	$4,321.81	$8,267.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $377.48 / $578.54 / $902.37	Professional		$377.48	$578.54	$902.37
United Facility/Professional Facility Modifier Low / Median / High Price $702.00 / $1,436.00 / $6,857.00	Facility		$702.00	$1,436.00	$6,857.00
United Facility/Professional Professional Modifier Low / Median / High Price $458.00 / $619.29 / $1,081.08	Professional		$458.00	$619.29	$1,081.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $271.16 / $338.73 / $460.18	Professional		$271.16	$338.73	$460.18